Individual
MARILYN MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-7500
(701) 227-7575
Mailing address
3129 LAKEVIEW DR, DICKINSON, ND 58601-7212
(701) 290-1916
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
10/21/2021
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